Individual
MRS. KRISTI RENNEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
234 GOODWIN CREST DR, BIRMINGHAM, AL 35209-3701
(205) 290-4550
Mailing address
234 GOODWIN CREST DR, BIRMINGHAM, AL 35209-3701
(205) 290-4550
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2206
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51536496
BCBS
AL
05
—
890018760
—
AL
Enumeration date
09/14/2006
Last updated
09/06/2016
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